Por este motivo, es fundamental que consultes con tu mdico, quien tendr en cuenta toda esta informacin para prescribirte, si es necesario, el tratamiento que mejor se adapte a tu situacin
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Specific situations requiring medical review include: Severe or persistent gastrointestinal side effects from Mounjaro that significantly limit your food intake for more than a few days You are taking metformin in addition to Mounjaro, as this combination increases B12 deficiency risk You have a history of pernicious anaemia, gastric surgery, or conditions affecting nutrient absorption You are considering stopping B12 injections whilst taking Mounjaro You experience any unexplained neurological symptoms Urgent medical attention is needed if you develop severe, persistent abdominal pain (which may radiate to the back), persistent vomiting, fever, or yellowing of the skin/eyes, as these could indicate pancreatitis or gallbladder problems Your GP or practice nurse can arrange blood tests to check your B12 levels (serum B12, holotranscobalamin, and if borderline, methylmalonic acid levels may be used where available) and determine the appropriate frequency of B12 injections if deficiency is confirmed

Fortunately, B12 toxicity is unheard of because it is a water soluble vitamin and any excess amount gets washed out in the urine
Despite the lack of prospective, randomized clinical trials, a few studies have shown carnitine supplementation in patients receiving VPA to result in subjective and objective improvements and to prevent VHT, in parallel with increases in carnitine serum levels
D., Daubioul, C
Clinical and molecular characterization of 6 children with glutamatecysteine ligase deficiency causing hemolytic anemia